person
Jaimie Manlucu, MD
Student in an Organized Health Care Education/Training Program in Brookline, Massachusetts
NPI 1003194242

Jaimie Manlucu is a Student in an Organized Health Care Education/Training Program based in Boston, MA. Jaimie Manlucu practices in Brookline, MA and has the professional credentials of MD. The NPI Number for Jaimie Manlucu is 1003194242 and holds a License No. 247521 (Massachusetts).

The current practice location address for Jaimie Manlucu is 33 Pond Ave, Brookline, MA and can be reached out via phone at 617-732-5500.

Location: 33 Pond Ave, Brookline, MA, 02115-6110
person
Provider Profile Details
NPI Number
1003194242
Provider Name
Jaimie Manlucu
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
33 Pond Ave, Brookline, MA, 02115-6110
Phone Number
617-732-5500
Fax Number
Provider Enumeration Date
07/21/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
247521 01 MA IN TRAINING
institution
Provider Business Practice Location Address Details
Address
33 Pond Ave
City
State
Zip
02445-7163
Phone Number
617-732-5500
Fax Number
person
Provider Business Mailing Address Details
Address
33 Pond Ave
City
State
Zip
02445-7163
Phone Number
617-732-5500
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
247521 (Massachusetts)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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